Document Detail


Pulmonary embolism in adolescents.
MedLine Citation:
PMID:  3717106     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To clarify the epidemiology of pulmonary embolism in adolescents, a retrospective analysis of adolescent admissions to a general hospital over a 15-year period was performed. Eighteen patients had 19 episodes of pulmonary embolism, an incidence of 78 per 100,000 hospitalized adolescents. There were twice as many female as male patients. Common complaints were chest pain, dyspnea, cough, and hemoptysis. Common findings were hypoxemia and deepvein thrombosis. Major risk factors were oral contraceptive use and elective abortion in 75% of female patients and trauma in 67% of male patients. Unlike its effect in adults, pulmonary embolism is rarely fatal in adolescents. Although clinical features in adolescents are similar to those in adults, there is a high incidence of both overdiagnosis and underdiagnosis. The early use of pulmonary arteriography in difficult diagnostic situations is suggested.
Authors:
D Bernstein; S Coupey; S K Schonberg
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of diseases of children (1960)     Volume:  140     ISSN:  0002-922X     ISO Abbreviation:  Am. J. Dis. Child.     Publication Date:  1986 Jul 
Date Detail:
Created Date:  1986-07-21     Completed Date:  1986-07-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370471     Medline TA:  Am J Dis Child     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  667-71     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Angiography
Anoxia / complications
Autopsy
Diagnostic Errors
Female
Humans
Male
New York
Pleurisy / complications
Pulmonary Embolism / complications,  epidemiology*,  radionuclide imaging
Renal Veins
Retrospective Studies
Risk
Thrombophlebitis / complications
Thrombosis / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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